Provider Demographics
NPI:1184756157
Name:KIM, JHINHO NONE (MD)
Entity type:Individual
Prefix:
First Name:JHINHO
Middle Name:NONE
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1340 BROAD AVE
Mailing Address - Street 2:SUITE 440
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39501-2404
Mailing Address - Country:US
Mailing Address - Phone:228-867-4856
Mailing Address - Fax:228-867-4857
Practice Address - Street 1:1340 BROAD AVE
Practice Address - Street 2:SUITE 440
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39501-2404
Practice Address - Country:US
Practice Address - Phone:228-867-4856
Practice Address - Fax:228-867-4857
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS18786207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery